Sketches of the most prevalent diseases of India : comprising a treatise on the epidemic cholera of the East, statistical and topographical reports of the diseases in the different division of the army under the Madras presidency / by James Annesley.

  • Annesley, James, Sir, 1780-1847.
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: Sketches of the most prevalent diseases of India : comprising a treatise on the epidemic cholera of the East, statistical and topographical reports of the diseases in the different division of the army under the Madras presidency / by James Annesley. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    in the hepatic region, and from the history of the case, that abscess actually exists, and that the tumour does not proceed from au excessive accu- mulation of bile in the gall bladder. Either in consequence of obstruction of the com- mon or cystic duct, from whatever cause, or from the speedy resolution of inflammations or conges- tion of the liver, great accumulation of viscid bile sometimes form in the gall-bladder, and give rise to a tumour of this organ at the margin of the false ribs and towards the epigastrium, which may be, and indeed not infrequently actually is, mistaken for abscess of the liver. Care must be taken to discriminate between this pathological condition and the formation of matter in the liver ; for it is evident, that if an operation were attempted for the removal of the former condition of disease, death would be the consequence. The accumu- lation of bile in the gall-bladder, when super- vening to congestions of the liver, is often fol- lowed, as the formation of matter frequently is, with a remission of the more acute symptoms, and with slight chills : hence the one is more readily mistaken for the other. In the case of abscess, however, the diffused tumefaction pre- ceding the formation of a distinct tumour, with pulsating pain in the region of the liver; the sen- sation of sinking, with anxiety and oppression ; the night sweats, and clammy state of the surface; and the frequent formications or rigors, are gene-